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Efficacy and Safety of Ethanol Ablation for Branchial Cleft Cysts

DC Field Value Language
dc.contributor.authorHa, EJ-
dc.contributor.authorBaek, SM-
dc.contributor.authorBaek, JH-
dc.contributor.authorShin, SY-
dc.contributor.authorHan, M-
dc.contributor.authorKim, CH-
dc.date.accessioned2018-08-24T01:49:56Z-
dc.date.available2018-08-24T01:49:56Z-
dc.date.issued2017-
dc.identifier.issn0195-6108-
dc.identifier.urihttp://repository.ajou.ac.kr/handle/201003/16088-
dc.description.abstractBACKGROUND AND PURPOSE: Branchial cleft cyst is a common congenital lesion of the neck. This study evaluated the efficacy and safety of ethanol ablation as an alternative treatment to surgery for branchial cleft cyst.
MATERIALS AND METHODS: Between September 2006 and October 2016, ethanol ablation was performed in 22 patients who refused an operation for a second branchial cleft cyst. After the exclusion of 2 patients who were lost to follow-up, the data of 20 patients were retrospectively evaluated. All index masses were confirmed as benign before treatment. Sonography-guided aspiration of the cystic fluid was followed by injection of absolute ethanol (99%) into the lesion. The injected volume of ethanol was 50%-80% of the volume of fluid aspirated. Therapeutic outcome, including the volume reduction ratio, therapeutic success rate (volume reduction ratio of >50% and/or no palpable mass), and complications, was evaluated.
RESULTS: The mean index volume of the cysts was 26.4 +/- 15.7 mL (range, 3.8-49.9 mL). After ablation, the mean volume of the cysts decreased to 1.2 +/- 1.1 mL (range, 0.0-3.5 mL). The mean volume reduction ratio at last follow-up was 93.9% +/- 7.9% (range, 75.5%-100.0%: P < .001). Therapeutic success was achieved in all nodules (20/20, 100%), and the symptomatic (P < .001) and cosmetic (P < .001) scores had improved significantly by the last follow-up. In 1 patient, intracystic hemorrhage developed during the aspiration: however, no major complications occurred in any patient.
CONCLUSIONS: Ethanol ablation is an effective and safe treatment for patients with branchial cleft cysts who refuse, or are ineligible for, an operation.
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dc.language.isoen-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHBranchioma/drug therapy-
dc.subject.MESHEthanol/therapeutic use-
dc.subject.MESHFemale-
dc.subject.MESHHead and Neck Neoplasms/drug therapy-
dc.subject.MESHHumans-
dc.subject.MESHInjections-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHTreatment Outcome-
dc.subject.MESHUltrasonography, Interventional-
dc.titleEfficacy and Safety of Ethanol Ablation for Branchial Cleft Cysts-
dc.typeArticle-
dc.identifier.pmid28970243-
dc.contributor.affiliatedAuthor하, 은주-
dc.contributor.affiliatedAuthor한, 미란-
dc.contributor.affiliatedAuthor김, 철호-
dc.type.localJournal Papers-
dc.identifier.doi10.3174/ajnr.A5373-
dc.citation.titleAJNR. American journal of neuroradiology-
dc.citation.volume38-
dc.citation.number12-
dc.citation.date2017-
dc.citation.startPage2351-
dc.citation.endPage2356-
dc.identifier.bibliographicCitationAJNR. American journal of neuroradiology, 38(12). : 2351-2356, 2017-
dc.embargo.liftdate9999-12-31-
dc.embargo.terms9999-12-31-
dc.identifier.eissn1936-959X-
dc.relation.journalidJ001956108-
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Radiology
Journal Papers > School of Medicine / Graduate School of Medicine > Otolaryngology
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